Evolve Family Therapy LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

EVOLVE FAMILY THERAPY LLC

Practice address

333 N Randall Rd # 105-B
St Charles, IL 60174-1573

Phone

(845) 857-7840

NPI assigned

Nov 18, 2021

Last updated

Dec 9, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bonnie McDanielNPI 1437614666

Title

Owner/Therapist

Phone

(847) 857-7840

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bonnie McDaniel, M.ED, LCPC

  • Counselor
  • St Charles, IL
  • NPI 1437614666
  Medicare reassignment Care Compare group NPD Authorized official
• Tiana Santisteven, LCPC, CRC

  • Rehabilitation Counselor
  • Chicago, IL
  • NPI 1740932714
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1245997832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N RANDALL RD STE 105B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741561",
            "telephone_number": "847-857-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N RANDALL RD # 105-B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741573",
            "telephone_number": "845-857-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE FAMILY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "847-857-7840"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437614666",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@wellnessevolve.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "244 S Randall Rd # 1054",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601235529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jennifer Ann Falbo-Negron, M.A., ED. S., LCPC
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• Yvonne Lynn Fanizza, LCPC
• Jacquelyn Rose Fara, RBT-16-19382

• Counseling Psychologist in St Charles, IL
• Providers in St Charles, IL by specialty
• Counseling Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.